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NPI Code Detail

MEDICARE: DR. ROBERTA GOLDEN PH.D.

MEDICARE:  DR. ROBERTA  GOLDEN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistGA#428GA

General Provider Information

NPI Number : 1538301239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERTA GOLDEN PH.D.
Provider Business Mailing Address
First Line : 3423 PIEDMONT ROAD, N.E.
Second Line : SUITE 514
City : ATLANTA
State : GA
Zip : 30305
Country : US
Telephone Number : 404-237-9090
Fax Number : 404-351-0004
Provider Business Practice Location Address
First Line : 3423 PIEDMONT ROAD
Second Line : SUITE 514
City : ATLANTA
State : GA
Zip : 30305
Country : US
Telephone Number : 404-237-9090
Fax Number : 404-351-0004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2009
Last Update Date : 03/27/2009

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Directions to “ DR. ROBERTA GOLDEN PH.D.” Practice Location

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